Exceptional. Well written. Story is good and end is great. I do think you may alienate some readers unnecessarily with what seems to be commentary on Obamacare. It is best not to seem to preach on any issue which is volatile so you don't put off a potential audience. But that is my opinion on writing etiquette which could also be deemed preachy. So only take it for what it is worth.

Remember: when people tell you something’s wrong or doesn’t work for them, they are almost always right. When they tell you exactly what they think is wrong and how to fix it, they are almost always wrong. – Neil Gaiman